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Individual

REUBEN I THAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD MPH

Contact information

Practice address
9420 W SAHARA AVE STE 105, LAS VEGAS, NV 89117-8800
(702) 545-0660
(253) 461-7851
Mailing address
9420 W SAHARA AVE STE 105, LAS VEGAS, NV 89117-8800
(702) 545-0660
(253) 461-7851

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16340
NV
207Q00000X
Family Medicine Physician
2006033711
MO
208600000X
Surgery Physician
16340
NV
208VP0000X
Pain Medicine Physician
16340
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881890432
NV
Enumeration date
06/21/2007
Last updated
11/08/2018
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